title: A comparison of two methods for ecologic classification of radon exposure in British Columbia: residential observations and the radon potential map of Canada.
abstract: OBJECTIVE
  To compare ecologic classification of radon exposure from observed residential concentrations in BC with classifications based on a map that shows geological radon potential, with particular attention to high-smoking populations.
  
  
  METHODS
  First, residential radon measurements from four health agencies were used to classify 74 local health areas (LHAs) as low, moderate, or high exposure based on the number of homes with concentrations greater than 200 and 600 Bq/m³. Second, the Zone 1 (high), Zone 2 (elevated), and Zone 3 (guarded) risk categories of the radon potential map of Canada were used to make the same exposure classifications based on the population-weighted area of each zone in each LHA. Agreement was compared and quantified. Average smoking rates in each LHA were used to further assess agreement for smokers, who are a high-risk group.
  
  
  RESULTS
  Both methods showed a range of exposure across LHAs. The radon potential map classified more areas as high exposure than the observed radon concentrations, and the methods agreed in 30 of 74 LHAs. The radon potential map identified much of the southern coastal region as high exposure, but 617 of the 621 observed concentrations were ≤200 Bq/m³, and no observations were >600 Bq/m³. An estimated 36% of the BC population and 35% of BC smokers live in the southern coastal region.
  
  
  CONCLUSIONS
  The radon potential map of Canada may communicate potential radon risk, but it was not designed for epidemiologic exposure assessment. Overall, the potential map classified 34 LHAs as higher than observed, and 10 LHAs as lower than observed. The potential map should only be used to inform exposure assessment in conjunction with observed radon concentrations.
authors.affiliation: British Columbia Centre for Disease Control, Vancouver, BC, Canada. sarah.henderson@bccdc.ca
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Rauch
authors.forename: Sarah B
authors.initials: SB
authors.lastname: Henderson
mesh_terms: D000396:Air Pollutants, Radioactive / Q000032:analysis*; D016902:Air Pollution, Indoor / Q000032:analysis; D001955:British Columbia / Q000453:epidemiology; D004781:Environmental Exposure / Q000032:analysis*; D062305:Geographic Mapping; D006801:Humans; D011834:Radiation Monitoring / Q000379:methods*; D011886:Radon / Q000032:analysis*; D018570:Risk Assessment; D012907:Smoking / Q000453:epidemiology
chemical_list: D000396:Air Pollutants, Radioactive; D011886:Radon
keywords: Radon; environmental exposure; epidemiologic methods; geographic information systems; risk assessment